Roux-en-Y gastric bypass versus one anastomosis-mini gastric bypass as a rescue procedure following failed restrictive bariatric surgery. A systematic review of literature with metanalysis

doi:10.1007/s13304-020-00938-9

Review

. 2021 Apr;73(2):639-647.

doi: 10.1007/s13304-020-00938-9. Epub 2021 Feb 19.

Roux-en-Y gastric bypass versus one anastomosis-mini gastric bypass as a rescue procedure following failed restrictive bariatric surgery. A systematic review of literature with metanalysis

Nunzio Velotti¹, Antonio Vitiello², Giovanna Berardi², Katia Di Lauro², Mario Musella²

Affiliations

¹ Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy. nunzio.velotti@gmail.com.
² Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.

PMID: 33606148
DOI: 10.1007/s13304-020-00938-9

Review

Roux-en-Y gastric bypass versus one anastomosis-mini gastric bypass as a rescue procedure following failed restrictive bariatric surgery. A systematic review of literature with metanalysis

Nunzio Velotti et al. Updates Surg. 2021 Apr.

. 2021 Apr;73(2):639-647.

doi: 10.1007/s13304-020-00938-9. Epub 2021 Feb 19.

Authors

Nunzio Velotti¹, Antonio Vitiello², Giovanna Berardi², Katia Di Lauro², Mario Musella²

Affiliations

¹ Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy. nunzio.velotti@gmail.com.
² Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.

PMID: 33606148
DOI: 10.1007/s13304-020-00938-9

Abstract

Background: Although different procedures have been proposed as revisional surgery for patients who had previously undergone a failed primary restrictive procedure, the ideal revisional procedure is still a matter of debate.

Methods: A systematic search was performed in all electronic databases to find studies comparing one anastomosis-mini gastric bypass (OAGB-MGB) or Roux-en-Y gastric bypass (RYGB) as revisional bariatric surgery for weight regain or intolerance/complications of a primary restrictive procedure. The data regarding sample size, patients' gender, age, primary surgery type, number of perioperative complications, operative time, pre- and post-revisional body mass index (BMI), and excess weight loss % (EWL%) at 1-year follow-up were extracted. Five studies were included in the analysis.

Results: The primary bariatric procedures were represented by vertical banded gastroplasty (VBG), laparoscopic adjustable gastric band (LAGB) and laparoscopic sleeve gastrectomy (LSG). About perioperative complications, both RYGB and OAGB-MGB showed a similar rate of leaks but OAGB-MGB had a lower rate of bleedings; considering the progression from pre- to post-revisional BMI, OAGB-MGB reveals a better outcome as well as a shorter operative time.

Conclusions: Our meta-analysis has shown OAGB-MGB, used as revisional intervention after failed restrictive surgery, achieves outcomes comparable to RYGB in terms of perioperative complications providing a simpler and more effective technique.

Keywords: Bariatric surgery; One anastomosis-mini gastric bypass (OAGB-MGB); Revisional surgery; Roux-en-Y gastric bypass (RYGB).

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References

1. Sjöström L (2008) Bariatric surgery and reduction in morbidity and mortality: experiences from the SOS study. Int J Obes 32:S93–S97
1. Musella M, Milone M, Gaudioso D et al (2014) A decade of bariatric surgery. What have we learned? Outcome in 520 patients from a single institution. Int J Surg 12:S183–S188 - PubMed
1. Sheppard CE, Lester EL, Chuck AW, et al (2013) The economic impact of weight regain. Gastroenterol Res Pract. 2013:379564
1. Qiu J, Lundberg PW, Javier Birriel T et al (2018) Revisional bariatric surgery for weight regain and refractory complications in a single MBSAQIP Accredited Center: what are we dealing with? Obes Surg 28:2789–2795 - PubMed
1. van Wezenbeek MR, van Oudheusden TR, de Zoete JP et al (2017) Conversion to gastric bypass after either failed gastric band or failed sleeve gastrectomy. Obes Surg 27:83–89 - PubMed

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[1] Sjöström L (2008) Bariatric surgery and reduction in morbidity and mortality: experiences from the SOS study. Int J Obes 32:S93–S97

[2] Sjöström L (2008) Bariatric surgery and reduction in morbidity and mortality: experiences from the SOS study. Int J Obes 32:S93–S97

[3] Musella M, Milone M, Gaudioso D et al (2014) A decade of bariatric surgery. What have we learned? Outcome in 520 patients from a single institution. Int J Surg 12:S183–S188 - PubMed

[4] Musella M, Milone M, Gaudioso D et al (2014) A decade of bariatric surgery. What have we learned? Outcome in 520 patients from a single institution. Int J Surg 12:S183–S188 - PubMed

[5] Sheppard CE, Lester EL, Chuck AW, et al (2013) The economic impact of weight regain. Gastroenterol Res Pract. 2013:379564

[6] Sheppard CE, Lester EL, Chuck AW, et al (2013) The economic impact of weight regain. Gastroenterol Res Pract. 2013:379564

[7] Qiu J, Lundberg PW, Javier Birriel T et al (2018) Revisional bariatric surgery for weight regain and refractory complications in a single MBSAQIP Accredited Center: what are we dealing with? Obes Surg 28:2789–2795 - PubMed

[8] Qiu J, Lundberg PW, Javier Birriel T et al (2018) Revisional bariatric surgery for weight regain and refractory complications in a single MBSAQIP Accredited Center: what are we dealing with? Obes Surg 28:2789–2795 - PubMed

[9] van Wezenbeek MR, van Oudheusden TR, de Zoete JP et al (2017) Conversion to gastric bypass after either failed gastric band or failed sleeve gastrectomy. Obes Surg 27:83–89 - PubMed

[10] van Wezenbeek MR, van Oudheusden TR, de Zoete JP et al (2017) Conversion to gastric bypass after either failed gastric band or failed sleeve gastrectomy. Obes Surg 27:83–89 - PubMed

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Roux-en-Y gastric bypass versus one anastomosis-mini gastric bypass as a rescue procedure following failed restrictive bariatric surgery. A systematic review of literature with metanalysis

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Roux-en-Y gastric bypass versus one anastomosis-mini gastric bypass as a rescue procedure following failed restrictive bariatric surgery. A systematic review of literature with metanalysis

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